Neurologia medico-chirurgica
Case Reports
Transient Ischemic Attack Due to Dissection of the Middle Cerebral Artery
—Case Report—
Yasushi IWAMUROJunya JITOMitsuaki SHIRAHATATomoo TOKIMEKazuo HOSOTANIYasuhiko TOKURIKI
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Volume 41 (2001) Issue 8 Pages 399-401

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Abstract

A 57-year-old man presented with a transient ischemic attack due to dissection of the middle cerebral artery. He suffered total aphasia and clouding of consciousness for several minutes. On admission, he was alert without neurological deficit. Magnetic resonance (MR) angiography and conventional angiography depicted irregularity and double lumen of the left middle cerebral artery. The diagnosis was dissection of the middle cerebral artery. After 1 month, he left our institute with no neurological deficit. Transient ischemic attack associated with dissection of an intracranial artery is unusual. The source images of MR angiography are useful for the essential follow up of dissection.

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